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arXiv 2503.01265eess.IVcs.CV

交互式无钆MRI合成:一种带有定位提示学习的Transformer

Interactive Gadolinium-Free MRI Synthesis: A Transformer with Localization Prompt Learning

School of Artificial Intelligence, Hebei University of Technology(河北工业大学人工智能学院);The First Hospital of Jilin University(吉林大学第一医院);Research Center for Medical AI, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences(中国科学院深圳先进技术研究院医学人工智能研究中心)

Linhao Li, Changhui Su, Yu Guo, Huimao Zhang, Dong Liang, Kun Shang

AI总结:

提出带有定位提示的Transformer(TLP)框架,通过分层主干、多阶段融合和模糊提示生成模块,从非对比MR图像合成CE-MRI,并支持放射科医生交互式输入诊断提示,实现更安全的无钆诊断。

摘要:

对比增强磁共振成像(CE-MRI)对肿瘤检测和诊断至关重要,但在临床环境中使用钆基对比剂(GBCAs)因潜在的健康风险而引发安全担忧。为了规避这些问题同时保持诊断准确性,我们提出了一种新颖的带有定位提示的Transformer(TLP)框架,用于从非对比MR图像合成CE-MRI。我们的架构引入了三项关键创新:使用高效Transformer处理多尺度特征的分层主干;由局部和全局融合模块组成的多阶段融合系统,分别通过空间注意力操作和交叉注意力机制分层整合互补信息;以及模糊提示生成(FPG)模块,通过随机特征扰动模拟放射科医生的手动标注来增强TLP模型的泛化能力。该框架通过允许放射科医生在推理过程中输入诊断提示,独特地实现了交互式临床整合,将人工智能与医学专业知识协同起来。这项研究为无对比剂MRI合成确立了新范式,同时满足了更安全诊断程序的关键临床需求。代码可在https://github.com/ChanghuiSu/TLP获取。

英文摘要:

Contrast-enhanced magnetic resonance imaging (CE-MRI) is crucial for tumor detection and diagnosis, but the use of gadolinium-based contrast agents (GBCAs) in clinical settings raises safety concerns due to potential health risks. To circumvent these issues while preserving diagnostic accuracy, we propose a novel Transformer with Localization Prompts (TLP) framework for synthesizing CE-MRI from non-contrast MR images. Our architecture introduces three key innovations: a hierarchical backbone that uses efficient Transformer to process multi-scale features; a multi-stage fusion system consisting of Local and Global Fusion modules that hierarchically integrate complementary information via spatial attention operations and cross-attention mechanisms, respectively; and a Fuzzy Prompt Generation (FPG) module that enhances the TLP model's generalization by emulating radiologists' manual annotation through stochastic feature perturbation. The framework uniquely enables interactive clinical integration by allowing radiologists to input diagnostic prompts during inference, synergizing artificial intelligence with medical expertise. This research establishes a new paradigm for contrast-free MRI synthesis while addressing critical clinical needs for safer diagnostic procedures. Codes are available at https://github.com/ChanghuiSu/TLP.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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